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Reimbursement summary for angioplasty of arteries of lower extremities

This post presents an extract from our reimbursement analysis for angioplasty of arteries lower extremities using plain and drug-coated balloons (DCBs) for peripheral artery disease in England, France and Germany. Plain balloon angioplasty is reimbursement via DRG solely and DCBs are reimbursement via combination of DRG and add-on reimbursement.
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Danish Health Authority has published overview of changes of DRG system for 2019

The amendments to DRG2019 consisted of proposals postponed from previous years, previous consultation responses, consultation response for  DRG2018 tariffs and new incoming proposals for DRG2019. In addition, changes have been implemented as a result of the consultation response that came to DRG2019. The full list of amendments and consultation responses can be found at the web-site of the Danish Health Authority.

Six new DRGs has been added in 2019, including:

  • 03PR07 “Replacement of processor in cochleart implant” (Udskiftning af processor i cochleart implantat)
  • 03SP07 “Joint package: Exploration and diagnosis of lack of smell and taste”  (Sammedagspakke: Udredning og diagnosticering af manglende lugte- og smagssans)
  • 12MP01 “Insertion of functional implants in the urinary tract or male genitals” (Indsættelse af funktionelle implantater i urinveje eller mandlige kønsorganer)
  • 27MP16 “Special complex chemotherapy, hematology” (Særlig kompleks kemobehandling, hæmatologi)
  • 27PR01 “Proton therapy” (Protonterapi)
  • 40PR01 “Lymph node treatment”  (Lymfeødembehandling)

See full details here.

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